Mississippi CVS Pharmacy, L.L.C.
NPI 1255647541ActiveOrganization· Pharmacy· Booneville, MS
Pharmacy in Booneville, Mississippi, registered in NPPES in August 2010. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $49,541 for services to 216 patients in 2024.
Overview
| NPI | 1255647541 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2010 |
| Last updated in NPPES | Jan 17, 2023 |
| Certified by provider | Jan 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 216 |
|---|---|
| Services billed | 656 across 11 procedure codes |
| Paid by Medicare | $49,541 |
Other Pharmacy providers in Booneville
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